HESI Pediatrics V1, V2
& V3 | 300+ Questions
with 100% Correct
Answers and
Elaborations |
Complete Updated
Test Bank 2025/2026
INTRODUCTION
When does birth length double? ---CORRECT ANSWER-- By 4 years
When does the child sit unsupported? ---CORRECT ANSWER-- 8 months
When does a child achieve 50% of adult height? ---CORRECT ANSWER-- 2 years
When does a child throw a ball overhand? ---CORRECT ANSWER-- 18 months
When does a child speak 2-3 word sentences? ---CORRECT ANSWER-- 2 Yeears
Age groups concepts of bodily injury ---CORRECT ANSWER-- Infants: After 6 months,
their cognitive development allows them to remember pain.
Toddlers: Fear intrusive procedures.
Preschoolers: Fear body mutilation.
School age: Fear loss of control of their body.
Adolescent: Major concern is change in body image.
Following immunization, what teaching should the nurse provide to the parents? --
CORRECT ANSWER-- Irritability, fever (<102 degrees F), redness and soreness at
injection site for 2-3days are normal side effects of DPT and IPV administration.Call
healthcare provider if seizures, high fever, or high -pitched crying occur.A warm
washcloth on the thigh injection site and "bicycling" the legs w/each diaper change will
decrease soreness.Acetaminophen (Tylenol) is administered orally every 4-6 hours
(1015 mg/Kg)
,Hgb norms ---CORRECT ANSWER-- Newborn: 14 to 24 g/dl
Infant: 10 to 15 g/d l
Child: 11 to 16 g/dl
Autosomal recessive ---CORRECT ANSWER-- Both parents must be heterozygous, or
,carriers of the recessive trait, for the disease to be expressed in their offspring. With
each pregnancy, there is a 1:4 chance of the infant having the disease. However, all
children of such parents CAN get the disease - NOT 25% of them.
A child with leukemia is being discharged after beginning chemotherapy. Which of the
following instructions will the nurse include when teaching the parents of this child?
a)provide a diet low in protein and high carbohydrates
b) avoid fresh vegetables that are not cooked or peeled
c) notify the doctor if the child's temperature exceeds 101 F (39C)
d) increase the use of humidifiers throughout the house ---CORRECT ANSWER--
Answer B fresh fruits and vegetables harbor microorganisms, which can cause
infections in immune-compromised child. Fruits and vegetables should either be
peeled or cooked. The physician should be notified of a temperature above 100F, a
diet low in protein is not indicated, and humidifiers harbor fungi in the water
containers.
A client with hemophilia has a very swollen knee after falling from bicycleriding. Which of
the following is the first nursing action?
a)initiate an IV site to begin administration of cryoprecipitate
b) type and cross-match for possible transfusion
c) monitor the client's vital signs for the first 5 minutes
d) apply ice pack and compression dressings to the knee ---CORRECT ANSWER--
Answer D
rest, ice, compression, and elevation (RICE)are the immediate treatments to reduce the
swelling and bleeding into the joint. These are the priority actions for bleeding into the
joint of a client with hemophilia
A client and her husband are positive for the sickle cell trait. The client asks the nurse
about chances of her children having sickle cell disease. Which of the following is
appropriate response by the nurse?
a)one of her children will have sickle cell disease
b) only the male children will be affected
c) each pregnancy carries a 25% chance of the child being affected
d) if she had four children, one of them would have the disease ---CORRECT
ANSWER-- Answer C
In autosomal recessive traits, both parents are carriers. There is a 25% chance with
each pregnancy that a child will have the disease.
An 8 year old child has been diagnosed to have iron deficiency anemia. Which ofthe
following activities is most appropriate for the child to decrease oxygen demands on the
body? a)Dancing b) playing video games c) reading a book
d) riding a bicycle ---CORRECT ANSWER-- Answer C
, reading a book is restful activity and can keep the child from becoming bored. Choices
a, b, and d require too much energy for a child with anemia and can increase oxygen
demands on the body.
A 16 month old child diagnosed with Kawasaki Disease (KD) is very irritable,refuses to
eat, and exhibits peeling skin on the hands and feet. Which of the following would the
nurse interpret as the priority?
a)applying lotions to the hands and feet
b) offering foods the toddler likes
c) placing the toddler in a quiet environment
d) encouraging the parents to get some rest ---CORRECT ANSWER-- Answer C One
of the characteristics of children with KD is irritability. They are often
inconsolable.Placing the child in a quiet environment may help quiet the child and
reduce the workload of the heart. The child's irritability takes priority over peeling of the
skin.
A newborn's failure to pass meconium within the first 24 hours after birth may indicate
which of the following?
a.Hirschsprung disease
b. Celiac disease
c. Intussusception
d. Abdominal wall defect ---CORRECT ANSWER-- Answer A
Failure to pass meconium within the first 24 hours after birth may be an indication of
Hirschsprung disease, a congenital anomaly resulting in mechanical obstruction due to
inadequate motility in an intestinal segment. Failure to pass meconium is not associated
with celiac disease, intussusception, or abdominal wall defect.
Which of the following should the nurse do first after noting that a child with
Hirschsprung disease has a fever and watery explosive diarrhea?
a. Notify the physician immediately
b. Administer antidiarrheal medications
c. Monitor child ever 30 minutes
d. Nothing, this is characteristic of Hirschsprung disease ---CORRECT ANSWER--
Answer A
For the child with Hirschsprung disease, fever and explosive diarrhea indicate
enterocolitis, a life-threatening situation. Therefore, the physician should be notified
immediately. Generally, because of the intestinal obstruction and inadequate propulsive
intestinal movement, antidiarrheals are not used to treat Hirschsprung disease. The child
is acutely ill and requires intervention, with monitoring more frequently than every 30
minutes.Hirschsprung disease typically presents with chronic constipation.
When assessing a child for possible intussusception, which of the following would be
& V3 | 300+ Questions
with 100% Correct
Answers and
Elaborations |
Complete Updated
Test Bank 2025/2026
INTRODUCTION
When does birth length double? ---CORRECT ANSWER-- By 4 years
When does the child sit unsupported? ---CORRECT ANSWER-- 8 months
When does a child achieve 50% of adult height? ---CORRECT ANSWER-- 2 years
When does a child throw a ball overhand? ---CORRECT ANSWER-- 18 months
When does a child speak 2-3 word sentences? ---CORRECT ANSWER-- 2 Yeears
Age groups concepts of bodily injury ---CORRECT ANSWER-- Infants: After 6 months,
their cognitive development allows them to remember pain.
Toddlers: Fear intrusive procedures.
Preschoolers: Fear body mutilation.
School age: Fear loss of control of their body.
Adolescent: Major concern is change in body image.
Following immunization, what teaching should the nurse provide to the parents? --
CORRECT ANSWER-- Irritability, fever (<102 degrees F), redness and soreness at
injection site for 2-3days are normal side effects of DPT and IPV administration.Call
healthcare provider if seizures, high fever, or high -pitched crying occur.A warm
washcloth on the thigh injection site and "bicycling" the legs w/each diaper change will
decrease soreness.Acetaminophen (Tylenol) is administered orally every 4-6 hours
(1015 mg/Kg)
,Hgb norms ---CORRECT ANSWER-- Newborn: 14 to 24 g/dl
Infant: 10 to 15 g/d l
Child: 11 to 16 g/dl
Autosomal recessive ---CORRECT ANSWER-- Both parents must be heterozygous, or
,carriers of the recessive trait, for the disease to be expressed in their offspring. With
each pregnancy, there is a 1:4 chance of the infant having the disease. However, all
children of such parents CAN get the disease - NOT 25% of them.
A child with leukemia is being discharged after beginning chemotherapy. Which of the
following instructions will the nurse include when teaching the parents of this child?
a)provide a diet low in protein and high carbohydrates
b) avoid fresh vegetables that are not cooked or peeled
c) notify the doctor if the child's temperature exceeds 101 F (39C)
d) increase the use of humidifiers throughout the house ---CORRECT ANSWER--
Answer B fresh fruits and vegetables harbor microorganisms, which can cause
infections in immune-compromised child. Fruits and vegetables should either be
peeled or cooked. The physician should be notified of a temperature above 100F, a
diet low in protein is not indicated, and humidifiers harbor fungi in the water
containers.
A client with hemophilia has a very swollen knee after falling from bicycleriding. Which of
the following is the first nursing action?
a)initiate an IV site to begin administration of cryoprecipitate
b) type and cross-match for possible transfusion
c) monitor the client's vital signs for the first 5 minutes
d) apply ice pack and compression dressings to the knee ---CORRECT ANSWER--
Answer D
rest, ice, compression, and elevation (RICE)are the immediate treatments to reduce the
swelling and bleeding into the joint. These are the priority actions for bleeding into the
joint of a client with hemophilia
A client and her husband are positive for the sickle cell trait. The client asks the nurse
about chances of her children having sickle cell disease. Which of the following is
appropriate response by the nurse?
a)one of her children will have sickle cell disease
b) only the male children will be affected
c) each pregnancy carries a 25% chance of the child being affected
d) if she had four children, one of them would have the disease ---CORRECT
ANSWER-- Answer C
In autosomal recessive traits, both parents are carriers. There is a 25% chance with
each pregnancy that a child will have the disease.
An 8 year old child has been diagnosed to have iron deficiency anemia. Which ofthe
following activities is most appropriate for the child to decrease oxygen demands on the
body? a)Dancing b) playing video games c) reading a book
d) riding a bicycle ---CORRECT ANSWER-- Answer C
, reading a book is restful activity and can keep the child from becoming bored. Choices
a, b, and d require too much energy for a child with anemia and can increase oxygen
demands on the body.
A 16 month old child diagnosed with Kawasaki Disease (KD) is very irritable,refuses to
eat, and exhibits peeling skin on the hands and feet. Which of the following would the
nurse interpret as the priority?
a)applying lotions to the hands and feet
b) offering foods the toddler likes
c) placing the toddler in a quiet environment
d) encouraging the parents to get some rest ---CORRECT ANSWER-- Answer C One
of the characteristics of children with KD is irritability. They are often
inconsolable.Placing the child in a quiet environment may help quiet the child and
reduce the workload of the heart. The child's irritability takes priority over peeling of the
skin.
A newborn's failure to pass meconium within the first 24 hours after birth may indicate
which of the following?
a.Hirschsprung disease
b. Celiac disease
c. Intussusception
d. Abdominal wall defect ---CORRECT ANSWER-- Answer A
Failure to pass meconium within the first 24 hours after birth may be an indication of
Hirschsprung disease, a congenital anomaly resulting in mechanical obstruction due to
inadequate motility in an intestinal segment. Failure to pass meconium is not associated
with celiac disease, intussusception, or abdominal wall defect.
Which of the following should the nurse do first after noting that a child with
Hirschsprung disease has a fever and watery explosive diarrhea?
a. Notify the physician immediately
b. Administer antidiarrheal medications
c. Monitor child ever 30 minutes
d. Nothing, this is characteristic of Hirschsprung disease ---CORRECT ANSWER--
Answer A
For the child with Hirschsprung disease, fever and explosive diarrhea indicate
enterocolitis, a life-threatening situation. Therefore, the physician should be notified
immediately. Generally, because of the intestinal obstruction and inadequate propulsive
intestinal movement, antidiarrheals are not used to treat Hirschsprung disease. The child
is acutely ill and requires intervention, with monitoring more frequently than every 30
minutes.Hirschsprung disease typically presents with chronic constipation.
When assessing a child for possible intussusception, which of the following would be
